when you lose these tools, particularly with a population that is very trancy torre, then you get, mechanically, they score and say, "x" million people will lose coverage. that will be the fundamental debate at coverage. will competing proposal will guarantee people the best they can a chance significance to something better? >> i'm sure there air lot more questions that folks have. we have about ten minutes left in the program. let me open up to the audience. you are looking at three of the individuals who presided over some of the biggest program changes for cms ever in the last, certainly since the inception of the program. they have world's of experience. >> i understand we are now at 18% of gdp as health care. is there anything on the table that is likely to arrest or reduce the increase in total health care as a percent of gdp out of all the political change? >> who wants to be first to take that one? >> i first started working in the senate in 1980. my boss said health care is 5.6% of the gdp. it is totally outrageous. it has to be stopped. people want health care. it is the one consumer